Evidence map›Paper›PMID 38680778›Full record

ArticleOxford medical case reports2024

The role of cardiac computed tomography in diagnostic and prognostic assessment of pregnancy related spontaneous coronary artery dissection: a case report.

Alessandra Luciano, Cecilia Cerimele, Daniele Mecchia, Marcello Mozzani, Simone Steffani, Francesca D'Errico, Carlo Di Donna, Vincenzo De Stasio, Francesco Garaci, Marcello Chiocchi

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Oxford medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alessandra LucianoDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Cecilia CerimeleDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-5137-9124
Daniele MecchiaDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Marcello MozzaniDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Simone SteffaniDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Francesca D'ErricoDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Carlo Di DonnaDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Vincenzo De StasioDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Francesco GaraciDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Marcello ChiocchiDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous coronary artery dissection (SCAD) is the most common cause of myocardial infarction during pregnancy or the postpartum period and has a major impact on cardiovascular morbidity and death in pregnant women. A 38-year-old woman with sudden cardiac arrest ten days postpartum urgently underwent coronarography, which showed an intraparietal hematoma of the left anterior descending (LAD) artery. Two days later, coronary computed tomography angiography (CCTA) was performed, which showed the evidence of SCAD in the mid-distal tract of LAD and the presence of transmural ischemic infarction in the apex and mid antero-septal wall in delayed acquisition. The patient was treated with a beta-blocker. Four months later CCTA showed complete resolution of SCAD and evolution of the infarcted areas. Given the high accuracy and noninvasiveness of CCTA, our case highlights the potential role of this imaging modality in the diagnosis and follow-up of pregnancy associated SCAD.

Identifiers

PMID38680778
PMCPMC11049560

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